Cost analysis for CPT 99233 — Subsequent hospital inpatient care, typically 35 minutes per day
Average Medicare Payment
$92.16
2023 data
Total Payments (2023)
$2.0B
Services (2023)
21.7M
Price Change (2014–2023)
+14.0%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $80.85 | $1.8B | 21.5M | — |
| 2015 | $81.32 | $1.8B | 21.7M | +0.6% |
| 2016 | $80.58 | $1.8B | 22.0M | -0.9% |
| 2017 | $81.24 | $1.9B | 22.6M | +0.8% |
| 2018 | $81.43 | $1.9B | 23.3M | +0.2% |
| 2019 | $81.90 | $2.0B | 24.0M | +0.6% |
| 2020 | $83.65 | $2.0B | 24.0M | +2.1% |
| 2021 | $81.84 | $2.1B | 24.8M | -2.2% |
| 2022 | $79.80 | $2.0B | 24.8M | -2.5% |
| 2023 | $92.16 | $2.0B | 21.7M | +15.5% |
The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $122.46 vs AR at $85.87.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $122.46 | $3.2M | 26.4K | 189 |
| NY | $102.54 | $136.6M | 1.3M | 8.6K |
| DC | $100.87 | $11.5M | 114.2K | 653 |
| NJ | $98.78 | $96.0M | 971.4K | 4.3K |
| CA | $98.71 | $302.1M | 3.1M | 11.5K |
| MD | $96.55 | $46.2M | 478.0K | 2.8K |
| CT | $96.28 | $16.6M | 172.8K | 1.7K |
| IL | $95.79 | $112.2M | 1.2M | 6.0K |
| MA | $95.72 | $52.7M | 550.5K | 4.2K |
| FL | $93.97 | $200.0M | 2.1M | 10.0K |
| WA | $93.94 | $25.2M | 268.0K | 2.4K |
| MI | $93.29 | $51.9M | 556.6K | 4.2K |
| RI | $93.11 | $4.3M | 45.8K | 469 |
| VA | $93.09 | $45.0M | 483.4K | 3.3K |
| HI | $93.09 | $5.1M | 54.4K | 315 |
| DE | $92.65 | $7.7M | 82.6K | 498 |
| CO | $92.63 | $20.9M | 225.3K | 1.9K |
| PA | $92.51 | $79.9M | 863.6K | 6.6K |
| NH | $92.26 | $6.6M | 71.6K | 604 |
| GU | $92.14 | $330.4K | 3.6K | 20 |
| OR | $92.00 | $12.0M | 130.4K | 1.3K |
| AA | $91.67 | $45.7K | 498 | 1 |
| NV | $91.63 | $30.8M | 336.1K | 1.1K |
| ME | $91.48 | $4.7M | 50.9K | 575 |
| MT | $91.16 | $3.2M | 35.6K | 365 |
| ZZ | $90.90 | $25.6K | 282 | 5 |
| AZ | $90.78 | $56.0M | 616.8K | 2.7K |
| TX | $90.54 | $166.9M | 1.8M | 9.3K |
| GA | $90.43 | $54.0M | 597.6K | 3.9K |
| ND | $90.32 | $3.4M | 38.0K | 287 |
| MO | $90.27 | $32.2M | 357.2K | 2.7K |
| WY | $90.18 | $1.3M | 14.1K | 112 |
| WV | $89.95 | $7.6M | 84.2K | 664 |
| VT | $89.93 | $1.7M | 19.4K | 219 |
| OH | $89.51 | $62.3M | 695.9K | 5.6K |
| SD | $89.37 | $3.2M | 35.5K | 294 |
| VI | $89.29 | $49.2K | 551 | 6 |
| LA | $89.27 | $24.8M | 277.9K | 2.0K |
| NM | $88.96 | $5.4M | 60.7K | 520 |
| UT | $88.78 | $5.5M | 62.4K | 700 |
| KY | $88.72 | $25.4M | 285.9K | 1.8K |
| MN | $88.62 | $21.5M | 242.9K | 2.6K |
| SC | $88.50 | $18.9M | 213.7K | 1.8K |
| NC | $88.28 | $42.8M | 484.6K | 4.2K |
| WI | $88.16 | $18.4M | 208.5K | 2.1K |
| OK | $88.14 | $24.1M | 273.1K | 1.3K |
| KS | $88.09 | $18.0M | 203.8K | 1.1K |
| IA | $87.93 | $9.5M | 108.4K | 905 |
| AL | $87.91 | $24.9M | 283.0K | 1.9K |
| IN | $87.71 | $36.5M | 416.3K | 2.7K |
| PR | $87.52 | $1.6M | 17.9K | 167 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Richard Baker | Internal Medicine | IL | $940.4K | 9.7K | $97.14 |
| Jonathan Eskenazi | Neurology | CA | $917.7K | 9.2K | $99.69 |
| Payam Yashar | Cardiology | CA | $897.5K | 8.5K | $105.23 |
| Arash Alborzi | Infectious Disease | CA | $844.1K | 8.5K | $99.61 |
| Hassan Abouhouli | Hospitalist | OK | $804.1K | 9.0K | $89.05 |
| Omer Deen | Internal Medicine | CA | $772.3K | 7.8K | $99.05 |
| Bachar Kurdi | Endocrinology | CA | $744.2K | 7.5K | $99.69 |
| Youram Nassir | Hematology | CA | $724.2K | 7.1K | $101.99 |
| Viney Soni | Pulmonary Disease | CA | $670.5K | 6.7K | $99.67 |
| Minghsun Liu | Infectious Disease | CA | $637.2K | 6.4K | $99.71 |
| Kishore Rasamallu | Internal Medicine | GA | $625.1K | 6.7K | $93.25 |
| Brandon Howard | Internal Medicine | NJ | $596.8K | 5.9K | $101.38 |
| Jacob Ahdoot | Nephrology | CA | $586.3K | 5.5K | $105.82 |
| Dustin Lee | General Surgery | CA | $562.6K | 5.6K | $99.69 |
| Mujeeb Altaf | Hospitalist | CA | $536.0K | 5.4K | $98.65 |
| Reza Bagherpour | Physical Medicine and Rehabilitation | CA | $529.2K | 5.5K | $95.97 |
| Manjit Dhillon | Internal Medicine | CA | $522.1K | 5.5K | $94.56 |
| Rajwinder Bahia | Internal Medicine | CA | $518.7K | 5.5K | $94.68 |
| Marc Makhani | Internal Medicine | CA | $517.2K | 5.1K | $101.92 |
| Jaime Avecillas | Pulmonary Disease | FL | $504.3K | 5.0K | $101.63 |
Based on the data, CPT 99233 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 14.0% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.